by Proactive LTC Consulting | Oct 15, 2025 | Care Planning, Compliance, MDS, Medicaid, Medicare, PDPM, Quality, Quality Measure, Reimbursement, Survey
Q: Your MDS Coordinator could come to you at any time needing an emergency medical leave, giving notice, or simply deciding that the role is no longer a good fit. What potential challenges could arise if you don’t have an experienced person to fill the position, and... by Proactive LTC Consulting | Oct 1, 2025 | Coding, Compliance, Depression, MDS, Medicaid, Medicare, Nursing, PDPM, Reimbursement
Q: I have recently been directed, when completing the PHQ-2 to 9, that if a resident acknowledges a symptom, but is unable to give a frequency, I should dash both questions (column 1 and 2). Is this correct? A: No, this is incorrect. If a resident answers “yes”... by Proactive LTC Consulting | Sep 17, 2025 | Admissions, Coding, Documentation, Education, MDS, Medicare, SNF, Webinars
Q: When completing an MDS, how do we know which diagnosis should be coded as the primary diagnosis for a resident with multiple conditions (for example, CHF, diabetes, and pressure ulcer)? A: This question comes up often in SNFs. The primary diagnosis should be... by Proactive LTC Consulting | Sep 17, 2025 | Compliance, MDS, Medicaid, Medicare, Nursing, Regulatory, Reimbursement
October 1, 2025 MDS Changes: What You Need to Know! CMS has released the RAI User’s Manual v1.20.1, effective October 1, 2025, with updates across multiple MDS sections. While Sections GG and J bring the most significant changes, every adjustment matters for... by Proactive LTC Consulting | Sep 10, 2025 | 5-Star, Compliance, Falls, MDS, QAPI, Quality Measure, VBP
BIG Changes to the Falls with Major Injury QM: What Changed and Why it Matters In the ever changing environment of quality reporting in healthcare, few metrics carry more weight than the Falls with Major Injury (FMI) measure. The Falls with Major Injury (FMI)... by Proactive LTC Consulting | Aug 4, 2025 | Billing, Compliance, MDS, Reimbursement, Survey
Q: Our facility has been issued a Denial of Payment for new admissions due to survey deficiencies. Should we continue to submit the MDS for current and newly admitted residents? A: A Denial of Payment for new admissions (DPNA) is a CMS enforcement remedy that...